Patient Information
The office of Gioiello General & Implant Dentistry offers a comfortable, relaxed, and family-oriented dental experience like no other. Located in Huber Heights, OH, our dental office provides a full range of general, cosmetic and restorative dentistry services.
Below you’ll find information about patient forms, payments, insurance, financing options, and our Savings Plan. If you have any questions, please reach out to our office. Our team looks forward to assisting you.
New Patients
Make your next visit hassle-free. Please print off the forms listed below and bring the completed paperwork with you to your appointment.
Patient Registration
Patient Medical History
HIPAA
Financial Responsibility
Payments & Insurance
We strive to help our patients utilize their insurance benefits fully. We also offer different methods of payment to help them follow through and complete their treatment without delay!
Our office accepts:
- Cash
- Personal Check
- Visa
- Mastercard
- Discover
We require all co-pays and deductibles to be paid at the time of service. This includes any dollar amount above your maximum.
We are also a CareCredit participant, which allows patients a flexible payment program. You can apply at our office, over the phone, or online.
We are a provider for several different insurance companies. Do not hesitate to call our office if you have any questions regarding your insurance.
Accepted Insurance
In Network:
- United Concordia
- FEP Blue Dental
- Superior
- Anthem Blue Cross & Blue Shield-Complete Plan
- Anthem/Liberty-Medicare
- Delta-Premier
Out of Network:
- Metlife
- Cigna
- Aetna
- GEHA
- United Healthcare
- Humana
- Guardian
- Ameritas
- Principal
- Delta-PPO
- Central State
- Anthem-Prime Plan
*Medicare must have out of network benefits in order for us to bill them*
*We do not take Medicaid*
Dental Savings Plan
Our in office savings plan was created to help those without dental insurance get the treatment you deserve
Yearly Maximums
Deductions
Waiting Periods
Pre-Existing Clauses
Pre-Authorization
Membership Includes:
- Two Exams
- Two Cleanings
- Four Bitewing X-rays (adult)
- Two Bitewing X-Rays (child)
- One Fluoride Treatment
(included for children only) - 10% off of all dental services
Membership Fees
- Adult Membership (age 14 & older): $389 per person
- Child Membership (age 13 & younger): $358 per person
Membership is valid for a year from the date of purchase
Membership Terms & Conditions
- Membership cannot be transferred.
- The plan cannot be used in combination to or with any insurance plans or other discount offers.
- Enrollment is available for anyone who does not have dental insurance and/or any savings or discount programs.
- Your membership is active for 1 year from the date of purchase.
- Discounts do not apply if you are using CareCredit as a form of payment.
- CareCredit cannot be used to purchase this plan.
- This plan is only available through Gioiello General & Implant.
For more information, send us a message! We’ll be in touch with you soon.
Gioiello General & Implant Dentistry
Tuesday: 8:00 AM - 5:00 PM
Wednesday: 8:00 AM - 5:00 PM
Thursday: 6:00 AM - 5:00 PM
Friday: 7:00 AM - 12:30 PM
Saturday & Sunday: Closed
